INTENSIVE Test 1 Study Guide - Quizlet Set for Engineering Course

Which of the followings are opiates medications?

1. morphine

2. codeine

3. heroin

4. fentanyl

a. 1, 2, and 3

b. 2, 3, and 4

c. 1, 3, and 4

d. 1 and 4

a. 1, 2, and 3

Do Benzodiazepines have some anti-anxiety effects?

a. true

b.false

a. true

What is the generic name for Diazepam?

a. valium

b. ativan

c. dipravan

d. adrenalin

a. valium

In maintenance of which of following is propofol used?

1. general Anesthesia

2. sedation for mechanically ventilated adults

3. increase heart rate

4. procedural sedation

a. 1, 2, and 3

b. 1, 2, and 4

c. 1, 3, and 4

d. 1 and 4

b. 1, 2, and 4

What is the dosage for propofol?

a. 0.05 mg

b. 1- 75 mcg

c. 0.2-0.5 mg

d. 3 mcg

b. 1- 75 mcg

What is precedex used for?

a. increase blood pressure

b. weaning, which allows patient to follow some commands, can also cause bradicardia.

c. gastic function

d. none of the above

b. weaning, which allows patient to follow some commands, can also cause bradicardia.

morphine be used for acute and chronic pain?

a. true

b. false

a. true

Which of the following is the gold standard on where other pain relievers are measure?

a. fentanyl

b. propofol

c. morphine

d. dilaudid

c. morphine

how does fentanyl differentiate from morphine?

a. they're both the same

b. fentanyl is used for pain relief and morphine for anxiety

c. is a pressor

d. fentanyl is estimated to be about 80 times the potency of morphine

d. fentanyl is estimated to be about 80 times the potency of morphine

What is the dosage for dilaudid?

a. 0.5-5 mg

b. 0.2- 1 mg 2-3 hrs

c. 0.05 ml

d. 0.05- 1 ml

b. 0.2- 1 mg 2-3 hrs

Does morphine, fentanyl and dilaudid have respiratory depression to the point where they can slow or stop someone's breathing?

a. true

b. false

a. true

A patient arrives to the ED having tremors and alcohol withdrawals which of the following medications would you prescribe?

a. ativan

b. morphine

c. epinephrine

d. nothing

a. ativan

How is Xanax given?

a. intravenous, dosage 0.25-05 mg

b. subcutaneous, dosage 0.25-0.5 mg

c. PO (Orally), dosage 0.25-0.5 mg

d. Check online and review

c. PO (Orally), dosage 0.25-0.5 mg

Which of the following are anti anxiety meds?

1. levophed

2. versed

3. ativan

4. xanax

a. 1, 2, and 3

b. 1, 3, and 4

c. 2, 3, and 4

d. 1 and 4

c. 2, 3, and 4

How does levophed works in the body?

1. makes the blood vessels narrowed

2. increase blood pressure

3. makes the heart work better

4. none of the above

a. 1, 2, and 3

b. 1, 3, and 4

c. 2, 3, and 4

d. 1 and 4

a. 1, 2, and 3

Which of the following medications maintains blood pressure stable in low or high blood pressures situations?

a. versed

b. levophed

c. neosynerphrine

d. none of the above

c. neosynerphrine

Which of the following drug is used to treat diabetes insipidus?

a. bicarbonate

b. verapamil

c. versed

d. vasopressin

d. vasopressin

By epinephrine being the most potent pressor, which of the following is most commonly used for?

1. codes

2. allergic reactions

3. cardiac arrest

4. inhaled by patient with croup

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 4

b. 1, 2, 3, and 4

Which of the following affects blood pressure directly?

a. diazepam and lorazepam

b. metoprolol and esmelol

c. cardizem and verapamil

d. propofol

c. cardizem and verapamil

Which of the following are beta blockers, affect heart directly and cause changes in BP?

a. cardizem and verapamil

b. metoprolol and esmelol

c. epinephrine and neosynerphrine

d. ipratropium bromide

b. metoprolol and esmelol

Which of the following diseases is vancomycin used for?

1. clostridium dificile

2. MRSA

3. pneumonia

4. diabetes

a. 1 and 2

b. 1 and 3

c. 2, 3, and 4

d. 1 and 4

a. 1 and 2

What is Zosyn used for?

1. UTI infections

2. vaginal infection

3. bacterial pneumonia (e. coli)

4. abdominal infections

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 4

b. 1, 2, 3, and 4

What are the dosages for zosyn?

1. 1 mcg BID

2. 5 ml Q12

3. 3.375 grams Q6

4. 4.5 grams Q8 (do not exceed 18 grams)

a. 3 and 4

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 4

a. 3 and 4

Which of the following are antibiotics

1. vancomycin

2. zosyn

3. levaquin

4. cefepine

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 4

b. 1, 2, 3, and 4

Hemodynamics

What are the factors that controls BP?

1. heart

2. Lungs

3. blood

4. vessels

a. 1, 2, and 3

b. 2, 3, and 4

c. 1, 3, and 4

d. 1 and 4

c. 1, 3, and 4

Changes in the heart means changes in pressure?

a. true

b. false

a. true

If heart rate increases, blood pressure decreases?

a. true

b. false

b. false

Which of the following would you give if both heart rate and BP increases?

a. chronotrtpics

b. dopamine

c. atropine

d. vessel dilator

a. chronotrtpics

What kind of positive inotropic drug strengthens the force of the heart beat?

a. atropine

b. calcium

c. digoxin

d. potassium

d. digoxin

What is the action for digoxin?

a. increases the amount of calcium in the heart cells

b. decreases heart rate

c. unstable BP

d. all of the above

a. increases the amount of calcium in the heart cells

Which of the following are negative inotropic?

1. beta blockers

2. calcium channel blockers

3. anti-arrhythmic meds

4. bronchodilator

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 4

a. 1, 2, and 3

What effect does excessive fluids have within the body?

a. decreases blood flow

b. increases BP

c. heart beats faster

d. CHF

b. increases BP

Since loss of fluids can decrease blood pressure, what can it be given to the patient instead?

1. fluids

2. lactated ringers

3. albumin

4. diuretics

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2 and 3

d. 1 and 4

c. 2 and 3

What happens when the vessels get constricted?

a. increases BP

b. decreases BP

c. low HR

a. increases BP

What do you give when vessel dilation is happening?

a. nitroprusside

b. epinephrine or phenylephrine

c. bronchodialor

d. atropine

b. epinephrine or phenylephrine

What is the total of the cardiac cycle?

a. 1/8th

b. 5/10th

c. 4/8th or 0.8 sec

d. 8/10th or 0.8 sec

d. 8/10th or 0.8 sec

When the heart leaves to the aorta valve what is the pressure?

a. 20/0

b. 120/80

c. 120/0

d. 28/5

c. 120/0

As the blood go into the capillary system, what is the pressure?

a. 120/80

b. 130/0

c. starts at 30, 20 and when exit 10

d. 10

c. starts at 30, 20 and when exit 10

When blood passes from the right atrium, through the tricuspid valve, into the right ventricle, what is the pressure?

a. 120/80

b. 25/0

c. 130/0

d. 0

b. 25/0

What is the thermistor port from the PA catheter (Swan Ganz) used for?

a. allows continuous temperature readings

b. heats the skin

c. provides humidification

d. prevent hypothermia

a. allows continuous temperature readings

What is the proximal injected port used for?

1. measure right atrium or CVP

2. infuse medication

3. pulse reader

4. none of the above

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 2

d. 1 and 2

What is the PA distal port used for?

1. continuous heart rate measures

2. wedge pressure measurements

3. PA pressure measurements when the ballon is inflated

4. measures the ballon when deflated

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2 and 3

d. 1 and 4

c. 2 and 3

What does low CVP values typically reflects on patient ?

1. low BP

2. pulmonary embolism

3. hypovolemia

4. decrease venous return

a. 1, 2, and 3

b. 3 and 4

c. 2, 3, and 4

d. 1 and 4

b. 3 and 4

Defibrillation vs cardioversion

What is the primary cause of V-fib?

a. hypoxemia

b. hypoxia

c. low oxygenation

d. neither of the above

b. hypoxia

Which of the following is an abnormal heart rhythm characterized by rapid and irregular beating of the atria?

a. left atrium

b. atrial flutter

c. atrial fibrillation

d. V-fib

c. atrial fibrillation

Which of the following is true about atrial flutter?

1. associates with fast heart rate

2. 100+ beats per min

3. classified as supraventricular tachy

4. increases heart rhythms

a. 1, 2, and 3

b. 1, 2, 3, and 4

c. 2, 3, and 4

d. 1 and 4

a. 1, 2, and 3

monophasic is DC current passes at one direction from one pad to the another?

a. true

b. false

a. true

what's the current that passes at one direction from one pad to the another and reverses from the opposite pad back?

a. monophasic

b. biphasic

c. defibrillation levels

d. current

b. biphasic

A patient in the ER is arousable but lethargic. Saturation is in the high 90's. Patient tests positive for ETOH and opiates.

What med is used for withdrawal symptoms of ETOH and opiates?

Ativan

Flolan (gen. Epoprostenol) is contraindicated for this age and under:

a. 16

b. 18

c. 5

d. 24

Max propofol dosage is:

75 mcg

Among other things, rapid withdrawal from nitic oxide can cause:

a. polyuria

b. Increased level of met-hemoglobin

c. loss of smell

d. skin cancer

b. Increased level of met-hemoglobin

Sedated patients can or can't always control their body temperature?

a. can

b. can't

b. can't

Continuous EEG monitoring can help diagnose _______ and _______.

a. alcohol withdrawal and opiate addiction

b. pulmonary hypertension and renal dysfunction

c. allergic reactions and visual acuity

d. sleep disorders and brain death

d. sleep disorders and brain death

(T/F) CRRT is used in patients who develop ALI.

a. true

b. false

b. false

What value is not monitored on a non-invasive cardiac monitor?

a. etCO2

b. heart rate

c. blood pressure

d. perfusion status

a. etCO2

(T/F) A patient with pulmonary hypertension will have elevated CVP and lower PAP values.

a. true

b. false

b. false

Wedge pressure is measured in what way?

a. non-invasively

b. wedging the pulmonary artery with an inflated balloon catheter.

c. with a central line

d. with a sphygmomanometer

b. wedging the pulmonary artery with an inflated balloon catheter.

Rheumatic fever in childhood causes:

a. tricuspid valve stenosis

b. semilunar valve stenosis

c. pulmonary hypertension

d. high systemic vascular resistance

a. tricuspid valve stenosis

A patient on a ventilator has the following hemodynamic data:

Cardiac output: 5 L/min

Pulmonary arterial wedge pressure: 51/33 mmHg

Pulmonary capillary wedge pressure: 5 mmHg

CVP: 10 mmHg

What condition does the patient have?

a. Pulmonary hypertension

b. Left heart failure

c. Right heart failure

d. Hypovolemic shock

Left Heart failure

How much blood is in the body?

5 Liters

Digoxin increases what?

Calcium

When measuring PAP, if you don't get distinct values, what likely happened?

a. balloon deflated

b. blood clot

c. kinked tube

d. nothing, this is normal

Kinked tube

When performing cardioversion you should _______ the QRS complex.

a. fight with

b. alternate with

c. synchronize with

d. obliterate

c. synchronize with

(T/F) Biphasic is similar to DC in that it passes in 1 direction from 1 pad to the next.

a. true

b. false

b. false

Typical Precedex dosage?

0.2 - 1.4mcg / Kg / HR

Typical Diazepam (Valium) Dosage?

2-10mcg over 6 hours. MAX 30mcg

Typical Versed dosage?

20 - 100 mcg/Kg/ HR

Typical ativan dosage?

2 mg 4-6 hours

Typical Xanax dosage/

0.25 - 0.5 mg

Typical Morphine dosage?

0.8 - 10 mg/ HR

Typical Fentanyl dosage?

25 - 100 mcg / HR

How much stronger is fentanyl than morphine?

80x

Typical Dilaudid dosage?

0.2 - 1 mg every 2-3 hours

Typical Levophed dosage?

0.05 - 0.3 mcg

Phenylephrine dosage?

0.04 - 5 mcg

Vasopressin main use?

Pressor used for diabetes insipudus

Epi pressor dosage?

0.05 - 0.3 mcg

Strongest pressor?

EPI